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Published October 2015 by European Resuscitation Council vzw, Emile Vanderveldelaan 35, 2845 Niel, Belgium Copyright: © European Resuscitation Council vzw Product reference: Poster_ALS_Algorithm_ENG_20150930
Advanced Life Support
Unresponsive and
not breathing normally?
CPR 30:2
Attach defibrillator/monitor
Minimise interruptions
Call Resuscitation Team
Assess rhythm
Shockable
(VF/Pulseless VT)
Non-shockable
(PEA/Asystole)
Return of
spontaneous
circulation
1 Shock
Minimise
interruptions
Immediately resume
CPR for 2 min
Minimise interruptions
Immediately resume
CPR for 2 min
Minimise interruptions
IMMEDIATE POST CARDIAC
ARREST TREATMENT
n
Use ABCDE approach
n
Aim for SaO
2
of 94-98%
n
Aim for normal PaCO
2
n
12 Lead ECG
n
Treat precipitating cause
nTargeted temperature
management
DURING CPR
n
Ensure high quality chest compressions n
Minimise interruptions to compressions n
Give oxygen
n
Use waveform capnography
n
Continuous compressions when advanced airway in place
n
Vascular access
(intravenous or intraosseous) n
Give adrenaline every 3-5 min n
Give amiodarone after 3 shocks
TREAT REVERSIBLE CAUSES
Hypoxia Thrombosis – coronary or pulmonary
Hypovolaemia Tension pneumothorax
Hypo-/hyperkalaemia/metabolic Tamponade – cardiac Hypothermia/hyperthermia Toxins
CONSIDER
n
Ultrasound imaging
n
